1

No cure, see doctor:
You appear to have a case of anemia and just borderline on vitamin D level (I usually like to see level between 60-80 even though 30 is said to be at the lower end of the normal range ). The positive anti-TPO suggests that you are at a higher risk than average in developing an autoimmune disease particularly on the thyroid. See your doctor re. these issues.
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3

Proper workup:
The workup of polyuria includes a check of the bloodglucose which I assume was okay, BUN and creatinine which I will assume are okay, and a check of urine concentrating ability. For this, you go without water as long as you can, comfortably, then see if your urine SG is over 1.020. If not, begin the diabetes insipidus workup. Vitamin assays are good for general health but not key.
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7

Many causes:
There may be many causes for your problems. Most importantly they need to determine why your BP is so high. Possibly just uncontrolled high BP, but they should make sure you do not have pheochromocytoma which is a tumor that secretes adrenalin like hormones that can cause extreme elevation of BP. The other lab tests can be evaluated later, but BP must be controlled ASAP. Good luck!
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8

Lactose Intolerance:
The disaccharide glucose and galactose is lactose, the main sugar in dairy products. Lactose intolerance is very common, particularly in adults. It occurs as a result of a deficiency in the lactase enzyme which breaks down lactose. Symptoms may include: gas, bloating, cramps, and diarrhea. Treatment consists of avoiding dairy, but many take oral lactase supplements just before eating dairy.
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9

Normal:
All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, Other than the fasting blood sugar being very slightly high, rest of the parameters are okay.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
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10

Platelet problems:
Pro time and partial thromboplastin time measure the ability of the liquid portion of the blood to go solid when it should. In thrombotic thrombocytopenic purpura and idiopathic thrombocytopenic purpura, the platelets -- formed elements that plug holes -- don't work as they should. Different components of the hemostasis system.
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13

Not if mixed tocoph.:
The hope study found that patients with ckd given 400 iu of vit e had somewhat increased risk of heart failure, but this study used Alpha tocopherol, which given alone can deplete gamma tocopherol, which can be detrimental. There are no studies showing harm of taking e as mixed tocopherols. Natural mixed e will likely work better combined with other antioxidants, as antioxidants work as a team.
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14

What's your question:
Why was your serum Insulin checked in first place? What's the reference range given for insulin? How did your ordering physician interpret test for you? Why was blood drawn after a meal b/c you need to be fasting in order to calculate your homa-ir? As you can see, too many questions need to be addressed before we even get to your question, whatever it is!
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19

Need Vits D3 and B12:
You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl.
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20

Adrenals can be:
tested in the conventional way starting w/family doc. He/she may refer you to an endocrinologist. A more alternative approach is to get an Adrenal Stress Index test from Diganostechs lab in WA state. It uses saliva as the sample and most conventional docs won't be trained in this. Then supplements can be used based on test results through a nutritionally oriented physician. Peace & health.
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